Individual
KRISTY TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1554 HARRISON AVE STE E, BUTTE, MT 59701-4859
(406) 560-2744
Mailing address
3499 BLACKTAIL LOOP, BUTTE, MT 59701-7135
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
614
MT
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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